Annual Meeting Registration Fill out the form below to register for our Annual Meeting. Event Sponsored by Carroll Magazine 2024 Annual Meeting RegistrationAre you a member?(Required) Yes No Select your membership below(Required) Individual Membership Senior Membership Family Household Membership Senior Household Membership Business Membership Would you like to become a member?(Required)Members receive discounts on tickets. Yes No Select your membership below.(Required) Individual/Family Membership ($40-$75) Business Membership ($295) Individual/Family MembershipPlease fill out the form below to purchase an individual or family membership.Membership Selection(Required) 1 Year Individual Membership ($50) 1 Year Family Household Membership ($75) 1 Year Senior Membership ($40) 1 Year Senior Household Membership ($55) Name(Required) First Last Company Email(Required) Phone(Required)Subtotal $0.00 Business MembershipPlease fill out the form below to purchase a business membership.Business Membership Price: Name of Company or Organization(Required) Applicant's Name(Required) First Last Applicant's Email(Required) Applicant's Phone(Required)Website Business Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Subtotal $0.00 Purchase SeatsHiddenDo you know the names of those attending?(Required) Yes No Please select the number of seats you would like to purchase for you and your guests.(Required) 1 Person 2 People 3 People 4 People 5 People 6 People 7 People 8 People 9 People 10 People First Purchased SeatIndividual and Senior Memberships receive their first event seat at a discounted rate. Please enter member name below.Family/Senior Household and Business Memberships receive two event seats at a discounted rate. Please enter member name below.Name of 1st Person(Required) First Last Event Seat(Required) Price: Event Seat(Required) Price: Second Purchased SeatFamily/Senior Household and Business Memberships receive two event seats at a discounted rate. Please enter 2nd member name below.Name of 2nd Person(Required) First Last Event Seat Price: Event Seat Price: Third Purchased SeatName of 3rd Person(Required) First Last Event Seat Price: Event Seat Price: Fourth Purchased SeatName of 4th Person(Required) First Last Event Seat Price: Event Seat Price: Fifth Purchased SeatName of 5th Person(Required) First Last Event Seat Price: Event Seat Price: Sixth Purchased SeatName of 6th Person(Required) First Last Event Seat Price: Event Seat Price: Seventh Purchased SeatName of 7th Person(Required) First Last Event Seat Price: Event Seat Price: Eighth Purchased SeatName of 8th Person(Required) First Last Event Seat Price: Event Seat Price: Ninth Purchased SeatName of 9th Person(Required) First Last Event Seat Price: Event Seat Price: Tenth Purchased SeatName of 10th Person(Required) First Last Event Seat Price: Event Seat Price: Total PurchaseTotal $0.00 Contact & Payment InformationBilling Name(Required) First Last Billing Address(Required) Street Address Address Line 2 City AlabamaAlaskaAmerican SamoaArizonaArkansasCaliforniaColoradoConnecticutDelawareDistrict of ColumbiaFloridaGeorgiaGuamHawaiiIdahoIllinoisIndianaIowaKansasKentuckyLouisianaMaineMarylandMassachusettsMichiganMinnesotaMississippiMissouriMontanaNebraskaNevadaNew HampshireNew JerseyNew MexicoNew YorkNorth CarolinaNorth DakotaNorthern Mariana IslandsOhioOklahomaOregonPennsylvaniaPuerto RicoRhode IslandSouth CarolinaSouth DakotaTennesseeTexasUtahU.S. Virgin IslandsVermontVirginiaWashingtonWest VirginiaWisconsinWyomingArmed Forces AmericasArmed Forces EuropeArmed Forces Pacific State ZIP Code Billing Phone(Required)Billing Email(Required) Would you like to cover the fee we pay to process credit cards? Yes, add 3% to my total. Subtotal $0.00 Credit Card Fee Price: $0.00 Total Credit Card(Required)Card Details Cardholder Name Protected by reCAPTCHA